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Individual

AMY T AN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, ARNP

Contact information

Practice address
4344 E PRESIDIO ST, MESA, AZ 85215-1143
(480) 834-5111
(480) 834-5222
Mailing address
4344 E PRESIDIO ST, MESA, AZ 85215-1143
(480) 834-5111
(480) 834-5222

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
96957
OK
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP8927
AZ
367A00000X
Advanced Practice Midwife
96957
OK
367A00000X
Advanced Practice Midwife
AP8927
AZ

Other

Enumeration date
11/23/2009
Last updated
12/31/2019
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